Elizabeth Charles, APRN
Adult Health · Fort Smith, ARNPI 1598308140
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $1,076 of the $1,708 with a category attached, or 63.0%. Enterra Medical, Inc. accounts for 80.3% of it on its own, with 12 other manufacturers making up the rest. 2025 is the largest year on record at $1,392, more than ten times the $52 reported in 2021.
Across 20 payments — averaging $85.42 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Enterra Medical, Inc.$1K
- Polynovo North America LLC$46
- Smith+Nephew$38
- Merck$38
- AbbVie$35
- Innovation Technologies Inc$33
- plus $146 from 7 others
What the payments were for
- Travel & lodging$1,07663%
- Food & beverage$63337%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Enterra Medical, Inc. | 4 | $1,372 |
| Polynovo North America LLC | 2 | $46 |
| Smith+Nephew | 2 | $38 |
| Merck | 2 | $38 |
| AbbVie | 2 | $35 |
| Innovation Technologies Inc | 1 | $33 |
| W. L. Gore & Associates, Inc. | 1 | $30 |
| Pacira Pharmaceuticals Incorporated | 1 | $27 |
| Endogastric Solutions, Inc | 1 | $24 |
| Integra Lifesciences Corporation | 1 | $20 |
| KCI USA, Inc. | 1 | $16 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $14 |
| Innocoll Pharmaceuticals Limited | 1 | $14 |
How this compares
$1,708 in reported general payments places this provider in the 70th percentile of 154 adult health providers in Arkansas.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 44 | $247 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 13 | $104 |
| Ondansetron Hcl | 25 | $63 |
Paid to pharmacies, not to this prescriber.
Other adult health in Fort Smith
- Gina NullFort Smith$8K
- Connie WardFort Smith$5K
- Mandy FluittFort Smith$4K
- Chasidy McAllisterFort Smith$3K
- Courtney GueyeFort Smith$2K
- Ann HarpFort Smith$2K
- Melanie GramlingFort Smith$1K
- Paula BrosnanFort Smith$1K
- Holly MooreLittle Rock$59K
- Deborah ShipmanJonesboro$41K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.